﻿<%@ Control Language="C#" AutoEventWireup="true" CodeBehind="UpdateLocation.ascx.cs"
    Inherits="CWCare.Modules.cwcProvider.UpdateLocation" %>
<div style="padding-left: 10px; font-size: 12px;">
    <table border="0" cellpadding="5" cellspacing="5">
        <tr>
            <td>
                Location &nbsp;:
            </td>
            <td>
                <asp:DropDownList ID="ddlAddressId" runat="server" AutoPostBack="true" OnSelectedIndexChanged="ddlAddressId_OnSelectedIndexChanged"
                    Width="300">
                </asp:DropDownList>
            </td>
        </tr>
        <tr>
            <td>
                Address &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtAddress" runat="server" MaxLength="255" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                Lattitude &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtLattitude" runat="server" MaxLength="250" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                Longitude &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtLongitude" runat="server" MaxLength="250" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                City &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtCity" runat="server" MaxLength="255" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                State &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtState" runat="server" MaxLength="255" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                Zip &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtZip" runat="server" MaxLength="20" Width="300"></asp:TextBox>
                <asp:RegularExpressionValidator ID="revZip" ControlToValidate="txtZip" ErrorMessage="Zip is numbers"
                    ValidationExpression="[0-9]+" runat="server"></asp:RegularExpressionValidator>
            </td>
        </tr>
        <tr>
            <td>
                Country &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtCountry" runat="server" MaxLength="255" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                Provider &nbsp;:
            </td>
            <td>
                <asp:DropDownList ID="ddlProviderId" runat="server" Width="300">
                </asp:DropDownList>
            </td>
        </tr>
        <tr>
            <td>
                Phone &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtPhone" runat="server" MaxLength="255" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                Fax &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtFax" runat="server" MaxLength="255" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                Hour &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtHours" runat="server" MaxLength="1000" Width="300" TextMode="MultiLine"
                    Height="100"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                Dexa &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtIsDexa" runat="server" MaxLength="50" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td>
                Dic &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtDic" runat="server" MaxLength="5" Width="300"></asp:TextBox>
                <asp:RegularExpressionValidator ID="RegularExpressionValidator1" ControlToValidate="txtDic"
                    ErrorMessage="Dic is numbers" ValidationExpression="[0-9]+" runat="server"></asp:RegularExpressionValidator>
            </td>
        </tr>
        <tr>
            <td>
                AMB &nbsp;:
            </td>
            <td>
                <asp:TextBox ID="txtIsAmb" runat="server" MaxLength="50" Width="300"></asp:TextBox>
            </td>
        </tr>
        <tr>
            <td colspan="2" align="center">
                <br />
                <asp:Button ID="btnCancel" Text="Cancel" runat="server" OnClick="btnCancel_OnClick"
                    Width="70" />&nbsp;&nbsp;&nbsp;
                <asp:Button ID="btnUpdate" Text="Save" runat="server" OnClick="btnUpdate_OnClick"
                    Width="70" />&nbsp;&nbsp;&nbsp;
                <asp:Button ID="btnDelete" Text="Detele" runat="server" OnClick="btnDelete_OnClick"
                    Width="70" />
            </td>
        </tr>
    </table>
</div>
